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Sylvan
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Verapamil Dosing Decisions
« on: Dec 21st, 2004, 9:33am »
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Just a quick dosing question.  
 
My Neuro re-wrote my verapamil RX yesterday for 240 mg extended 2x a day. I still have nearly a full bottle of the 80mg regulars .  
 
Would it make sense to take 2 80s 3x a day until they are used up or fill the new rx now? Seems like a drastic increase all at once.  
 
Other options i'm considering are 80mg , 80mg, 160 at night and gradually add the additional doses over the next week or so if necessary.  
 
He also doubled my lithium to 300 mg 2x a day. I don't want to overdo the meds - but i also want some relief.  
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Bandette74
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Re: Verapamil Dosing Decisions
« Reply #1 on: Dec 21st, 2004, 10:24am »
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what about asking the neuro? i know some have limited personalities--i lucked out in that regard.  
 
i work psychiatric, and i oversee self-administration of medications for my clients. when they have a med change, the doctor orders a change in dosage, and the pharmacy gives us new meds reflecting that change, but they also take the old medication and try to alter it to fit the new dosage if possible, and they ask us to use that up before using the new script. for instance, take two 100mg pills before taking the new 200mg pills or cut a 50mg pill before taking the new 25mg pill (note: NEVER cut a pill that isn't scored! & NEVER cut a pill before your pharmacist okays it). you can also ask your pharmacist for advice. if you're concerned about your doctor's order, go ahead and call him/her or seek out a second opinion...
 
best of luck to ya!  Wink
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Sylvan
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Re: Verapamil Dosing Decisions
« Reply #2 on: Dec 21st, 2004, 10:57am »
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I actually did ask him when he wrote the scrip - he said i could take 2 80's 3x a day until i used them up and then fill the new scrip.  
 
Just seems like kind of a large increase all at once.  
 
I seem to recall someone telling me that it is more common to increase more gradually.  
 
Thanks!
Sylvan
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nani
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Re: Verapamil Dosing Decisions
« Reply #3 on: Dec 21st, 2004, 11:17am »
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Since you've got them already, I would suggest using up the old one's first. You are still taking them in smaller doses, so it should be OK. See how you feel after the first 160mg dose, and take it from there. I take 240mgs in the AM and 120mgs at night. No side effects. Hope it helps!
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Re: Verapamil Dosing Decisions
« Reply #4 on: Dec 21st, 2004, 11:57am »
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Thanks Nani:
 
I took 160 last night & felt fair this morning - only 2 brief wake up calls last night.  
 
Only took 80 this morning though - and took the extra dose of Lithium around 10 (12 hours btwn doses)  
 
Feel like a wet dish rag right now - shadowing - and drained.  
 
May try to leave work early tonight.  
 
Anne
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becky8
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Re: Verapamil Dosing Decisions
« Reply #5 on: Dec 21st, 2004, 12:39pm »
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Are you taking the lithium at night too? I take 80's 3 times a day and one lithium during the day and at night I take 80 and 1/2 and one lithium. But I also take 6-9mg melatoin, and that helps alot with my night hits!!!!!
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Sylvan
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Re: Verapamil Dosing Decisions
« Reply #6 on: Dec 21st, 2004, 12:44pm »
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As of last night - i'm taking 300 mg Lithium at night - and one during the day. Took 160 verapamil last night - 80 this morning and plan to take another 80 mid afternoon.  
 
I jsut started taking the melatonin at night - just 3mg though. Seems to help a little.  
 
I want to see what raising the lithium and verap does before raising the melatonin too. Too many changes at once and I'll have no clue what's actually making a difference.
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becky8
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Re: Verapamil Dosing Decisions
« Reply #7 on: Dec 21st, 2004, 12:47pm »
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Do more melatoin, CHers need at least 6mg!! It won't affect it at all!
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becky8
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Re: Verapamil Dosing Decisions
« Reply #8 on: Dec 21st, 2004, 12:50pm »
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I know it seems like soooo many drugs, i was kinda freaked by it too, but to get it under control you sometimes have to take usually high doses. Best of Luck! See how your blood test come back from the lithium too
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bobbio56
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Re: Verapamil Dosing Decisions
« Reply #9 on: Dec 21st, 2004, 10:36pm »
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Depends with Verap..............Extended relief variety? I just got up to 480mg ER. Lessened a 3 month killer cycle to bearable. Chronic, was getting 8 HA/day , 6-9.99. My dog is grateful. He doesn't have to watch as often. Point is, I didn't get as much or consistent relief until I switched to ER Verap., taken before bed.  
4-6 weeks experimenting to get to here. Trying to fine tune and get through this lengthy cycle. Verap. is unique to the individual in dosage and results in many cases. Best for y'all!!!    PFD
 
Bobbio
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Sylvan
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Re: Verapamil Dosing Decisions
« Reply #10 on: Dec 22nd, 2004, 1:11pm »
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Thanks!  
 
I took 6mg of the melatonin last night ..... AND SLEPT! (well at least until 4 am)  
 
I feel more rested today than i have in almost 2 months!  
 
Thank you! Thank You! Thank You!  
 
 sayyes
 
Anne
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becky8
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Re: Verapamil Dosing Decisions
« Reply #11 on: Dec 22nd, 2004, 2:23pm »
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Good for you!!! its a start, I don't think many us with CH sleep like people without it do, but its much better to sleep only til 4 than not at all. The longer you take it the more its in your body so you might get even longer sleep cycles, everyone's different though!! Good luck!!
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